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DISA º¸ÇèÇ÷£
DISA Service´Â ÃÑ 4°¡Áö Ç÷£À» Á¦°øÇÏ°í °¢°¢ÀÇ Ç÷£¿¡´Â ¸éÃ¥±Ý(Deductible) ¿¡ µû¶ó µÎ°¡Áö ¿É¼ÇÀ¸·Î ³ª´² Áý´Ï´Ù.
DISA Service´Â ÃÑ 4°¡Áö Ç÷£À» Á¦°øÇÏ°í °¢°¢ÀÇ Ç÷£¿¡´Â ¸éÃ¥±Ý(Deductible) ¿¡ µû¶ó µÎ°¡Áö ¿É¼ÇÀ¸·Î ³ª´² Áý´Ï´Ù.

 ¡Ø DISAService ¿¡¼­ Á¦°øÇÏ´Â º¸ÇèÇ÷£Àº ¹Ì±¹ ´ëºÎºÐÀÇ Çб³¿¡¼­ ÀÎÁ¤À» ÇÏ°í ÀÖ½À´Ï´Ù.
Ç÷£ Basic Plus Elite Plus ICS Sports
Low
Deductible
High
Deductible
Low
Deductible
High
Deductible
Low
Deductible
High
Deductible
Low
Deductible
High
Deductible
Deductible
(¸éÃ¥±Ý¾×)
Çù¾à $100
ºñÇù¾à $500
Çù¾à $500
ºñÇù¾à $700
Çù¾à $100
ºñÇù¾à $500
Çù¾à $500
ºñÇù¾à $700
Çù¾à $100
ºñÇù¾à $500
Çù¾à $500
ºñÇù¾à $700
Çù¾à $100
ºñÇù¾à $500
Çù¾à $500
ºñÇù¾à $700
Maximum Benefit
(º¸»óÇѵµ)
»óÇØ Áúº´ °Ç´ç 50¸¸ºÒ ¹«Á¦ÇÑ ¹«Á¦ÇÑ ³â°£ 25¸¸ºÒ Çѵµ
Co Insurance
(ÀںδãºñÀ²)
Çù¾à 80% º¸Çèȸ»çºÎ´ã
20% Çлý ºÎ´ã
80% º¸Çèȸ»çºÎ´ã
20% Çлý ºÎ´ã
(20% Çлý ÀںδãÇѵµ $6,850)
90% º¸Çèȸ»çºÎ´ã
10% Çлý ºÎ´ã
(10% Çлý ÀںδãÇѵµ $5,000)
80% º¸Çèȸ»çºÎ´ã
20% Çлý ºÎ´ã
(20% Çлý ÀںδãÇѵµ $6,850)
ºñÇù¾à 70% º¸Çèȸ»çºÎ´ã
Çлý 30% ºÎ´ã
70% º¸Çèȸ»çºÎ´ã
Çлý 30% ºÎ´ã
(30% Çлý ÀںδãÇѵµ $10.000)
70% º¸Çèȸ»çºÎ´ã
Çлý 30% ºÎ´ã
(30% Çлý ÀںδãÇѵµ $10.000)
70% º¸Çèȸ»çºÎ´ã
Çлý 30% ºÎ´ã
(30% Çлý ÀںδãÇѵµ $10.000)
Prescription Drug Çù¾à Tier 1 : $20
Tier 2 : 30%
Tier 3 : 45%
Tier 1 : $15
Tier 2 : 25%
Tier 3 : 40%
Tier 1 : $15
Tier 2 : 25%
Tier 3 : 40%
Tier 1 : $15
Tier 2 : 25%
Tier 3 : 40%
ºñÇù¾à º¸Àå¾ÈµÊ º¸Àå¾ÈµÊ º¸Àå¾ÈµÊ º¸Àå¾ÈµÊ
Co pay
(º¸Á¶ºñ¿ë)
ÀÇ»ç¹æ¹® $30 ÀÇ»ç¹æ¹® $35 ÀÇ»ç¹æ¹® $25 ÀÇ»ç¹æ¹® $30
ER Co pay
(ÀÀ±Þ½Ç º¸Á¶ºñ¿ë)
$300 $250 $200 $250
Preventive Care Çù¾à ³â°£ $1,000 Çѵµ º¸ÀåÇÔ º¸ÀåÇÔ º¸ÀåÇÔ
(¿¹¹æ¼­ºñ½º) ºñÇù¾à º¸Àå¾ÈµÊ º¸Àå¾ÈµÊ º¸Àå¾ÈµÊ º¸Àå¾ÈµÊ
º¸Çè·á ~22¼¼ $953 $885 $1,260 $1,158 $1,509 $1,379 $2,260 $2,056
23¼¼~26¼¼ $1,288 $1,175 $1,778 $1,616 $2,173 $1,969 $3,364 $3,040
27¼¼~30¼¼ $2,498 $2,261 $3,527 $3,186 $4,351 $3,922 $6,847 $6,166
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